Prabhakar Tummala, MD is a medicare enrolled "Emergency Medicine" physician in Boron, California. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Southland Emergency Medical Associates Inc and his current practice location is
12500 Boron Ave, Boron, California. You can reach out to his office (for appointments etc.) via phone at
(760) 762-5111.
Prabhakar Tummala is licensed to practice in California (license number A89858) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780639344.
Physician's Profile
| Full Name | Prabhakar Tummala |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 31 Years |
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| Location | 12500 Boron Ave, Boron, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Prabhakar Tummala graduated from medical school in 1993
NPI Data:
- NPI Number: 1780639344
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 07/30/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355372848
- Enrollment ID: I20050824000754
Medical Identifiers
Medical identifiers for Prabhakar Tummala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780639344 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | A89858 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southland Emergency Medical Associates Inc | 9830466796 | 19 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Prabhakar Tummala allows following entities to bill medicare on his behalf.
| Entity Name | Desert Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803 |
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| Entity Name | Southland Emergency Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932640935
PECOS PAC ID: 9830466796
Enrollment ID: O20220929003208 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Prabhakar Tummala is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Prabhakar Tummala, MD
13009 Quail Ct,
Rancho Cucamonga, CA 91739-8854
Ph: () - | Prabhakar Tummala, MD
12500 Boron Ave,
Boron, CA 93516-1647
Ph: (760) 762-5111 |
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